Individual
DR. JARED HEATH HEIMBIGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 584-1612
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 584-1612
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A 9269
CA
2085R0202X
Diagnostic Radiology Physician
P0225
TX
Other
Enumeration date
08/26/2005
Last updated
12/19/2014
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